MEMBERSHIP APPLICATION
Independent Order of the Odd Fellows of the Jurisdiction of Massachusetts
Dated ___________, 20___
Application Fee $_______
I, _________________________________________:
(Name - Please Print)
apply to the members of ______________________________ No. ________ of the Independent Order of Odd Fellows of the Jurisdiction of Massachusetts; for membership by: [ (circle one) Initiation - Transfer - Card ] and agree to abide by the rules, regulations and teachings of the Order. I understand my rights as a member are protected by the laws of the Order and agree NOT to resort to civil courts for their enforcement. I believe in a Supreme Being and am loyal to my country.
I was born at __________________________ on
(city / town / state)
the ___ day of _________, ____
        day                   month            year
My Occupation is __________________________
Employer ________________________________
Residence _______________________________

Mailing Address ___________________________
Telephone _______________________________
Spouse __________________________________		 Three Links

Applicant's Signature _______________________________________
Sponsor:______________________________________________________
(Name)          (Lodge, Encampment, Auxiliary, Canton - Name & Number)
We certify that the applicant meets the qualifications for membership in this lodge.
         Interviewing Committee
_____________________________________
_____________________________________
_____________________________________
Application processed ________

 I certify that _________________________________
is a member of ______________________Degree
in good standing in _______________________________
No. _____

Attest:______________
(Secretary/Scribe)
Application Voted_____________


 [seal]
Print this form, fill it out, and send it to the local Lodge.
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